I had written to you about a week ago about my daughter. She had a few high readings which prompted her pediatrician to send her to an endocrinologist. Her glucose tolerance test was normal, but we have been continuing to monitor her blood sugar. Her fasting readings have all been above 110 mg/dl [6.1 mmol/L] with only one reading exceeding 126 mg/dl [7.0 mmol/L]. The other morning, after breakfast, I checked her and she was 322 mg/dl [17.9 mmol/L]. Twenty minutes later, she was 210 mg/dl [11.7 mmol/L]. Another 20 minutes later, her blood sugar was 195 mg/dl [10.8 mmol/L]. I called her endocrinologist who said that it was likely that my daughter is in the early stages of type 1 diabetes. But, all of her laboratory work had come back normal. The only thing they mentioned to me was that the week prior, the pediatrician had done an A1c and it was 4.9 and when they did it a week later it was 5.4. Do you think there is any significance to that? I realize these are very normal A1c values, but do they normally jump in a week's time? Also, is it at all possible that the doctors are wrong about this being early stages of type 1? Can a non-diabetic have a reading of 322 mg/dl [17.9 mmol/L] and fasting readings over 110 mg/dl [6.1 mmol/L] every day?

Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.

Kacie Doyle-Delgado, MSN, APRN, NP-C, was diagnosed with type 1 diabetes at age 11 and attended her first Friends for Life conference in 2002. Since then, she has attended several FFL and regional conferences. She earned her BSN and her MSN as a Family Nurse Practitioner at Westminster College in Salt Lake City, UT and she is currently enrolled in a DNP program. She works for Utah Physicians Care Center in a diabetes specialty clinic. Kacie lives in Salt Lake with her husband, Justin Delgado, and their dogs. She is looking forward to volunteering with the teens again.

Marissa Town, BSN, RN, CDE, graduated from the University of Cincinnati with a Bachelor of Science in Nursing and later earned her Certified Diabetes Educator credential. She has had type 1 diabetes since the age of two and has grown up with a passion for helping families living with diabetes. Marissa is currently working as a research nurse at Stanford University. She has always enjoyed working with families with diabetes at Children with Diabetes conferences, camps, and support groups. She and her husband Adam have two young children, Connor and Everly.